scholarly journals Phthirus pubis Infestation of the Eyelids Presenting as Chronic Blepharoconjunctivitis in a 6-Year-Old Girl: A Case Report

2018 ◽  
Vol 9 (1) ◽  
pp. 30-34 ◽  
Author(s):  
Viola Andin Dohvoma ◽  
Steve Robert Ebana Mvogo ◽  
Paul Jean Adrien Atangana ◽  
Pamela Nyasse ◽  
Emilienne Epee ◽  
...  
Keyword(s):  
Case Report ◽  
Petroleum Jelly ◽  
Slit Lamp ◽  
Slit Lamp Examination ◽  
Topical Antibiotics ◽  
Parasitological Examination ◽  
Ocular Irritation ◽  
Mechanical Removal ◽  
History Of

Purpose: To report the case of Phthirus pubis infestation of the eyelashes presenting as chronic blepharoconjunctivitis. Case Report: A 6-year-old girl presented with a 2-month history of blepharoconjunctivitis unresponsive to topical antibiotics in the left eye. Slit-lamp examination revealed the presence of nits and adult parasites on the eyelashes. Parasitological examination confirmed adult forms and nits of Phthirus pubis. There was no evidence of infestation elsewhere. Outcome was favourable with mechanical removal and application of petroleum jelly. Conclusion: Careful slit-lamp examination of the eyelashes should be done in all patients presenting with ocular irritation symptoms.

scholarly journals External ophthalmomyiasis by sheep botfly – a report from Sirmaur hills

2020 ◽  
Vol 18 (1) ◽  
pp. 64-66
Author(s):  
Anubhav Chauhan ◽  
◽  
Neha Gautam ◽  
Keyword(s):  
Foreign Body ◽  
Oestrus Ovis ◽  
Human Tissues ◽  
Slit Lamp ◽  
Slit Lamp Examination ◽  
Topical Antibiotics ◽  
Body Sensation ◽  
History Of ◽  
Conjunctival Inflammation ◽  
The Right

Introduction. Myiasis is caused by larvae of flies infesting animal or human tissues and organs. Aim. In this report we present 2 cases of external ophthalmomyiasis by sheep botfly. Description of the cases. We report a case of two patients who presented with a history of foreign body sensation in the left and the right eye respectively. Slit lamp examination revealed larvae of Oestrus ovis (sheep botfly). In both cases, there was no contact history with sheep or goats. Signs of conjunctival inflammation and corneal involvement were absent in both cases. In most of the previous reports, corneal and conjunctival inflammation was present. Conclusion. Treatment for external ophthalmomyiasis is based on larvae removal and application of topical antibiotics and steroids.

Late-onset malignant glaucoma

2020 ◽  
Vol 3 ◽  
pp. 1
Author(s):  
Ramiro José Daud ◽  
Horacio Freile ◽  
Mauricio Freile ◽  
Soledad Mariano
Keyword(s):  
Intraocular Pressure ◽  
Case Report ◽  
Acute Pain ◽  
Late Onset ◽  
Slit Lamp ◽  
Normal Range ◽  
Slit Lamp Examination ◽  
Complete Occlusion ◽  
Malignant Glaucoma ◽  
The Right

A case report on a 49-year-old female with diagnoses of ocular hypertension in her left eye (LE) treated with 250 mg/day acetazolamide for 2 years. During the slit-lamp examination, complete occlusion of both iridocorneal angles was detected. Intraocular pressure (IOP) was 10 and 35 mmHg in the right eye and LE, respectively. Phacotrabeculectomy was performed in the LE. After 1 month of the procedure, the patient developed a slowly progressive miopization from −1 to −3 diopters (D) the following months. Approximately 3 months after surgery, the patient developed an episode of acute pain, athalamia, and IOP 45 mmHg in her LE. Late-onset malignant glaucoma was suspected and the patient was treated with topical hypotensive and cycloplegic agent until a prompt vitrectomy was performed. Deepening of the anterior chamber and restoration of IOP to normal range was obtained after surgery.

scholarly journals Identification of a Novel Missense KRT12 Mutation in a Vietnamese Family with Meesmann Corneal Dystrophy

2020 ◽  
Vol 11 (1) ◽  
pp. 120-126
Author(s):  
Pham Ngoc Dong ◽  
Le Xuan Cung ◽  
Tran Khanh Sam ◽  
Do Thi Thuy Hang ◽  
Doug D. Chung ◽  
...  
Keyword(s):  
Sanger Sequencing ◽  
Novel Mutation ◽  
Family Members ◽  
Corneal Dystrophy ◽  
Slit Lamp ◽  
Slit Lamp Examination ◽  
Corneal Epithelial ◽  
Epithelial Phenotype ◽  
History Of ◽  
Characteristic Features

Meesmann epithelial corneal dystrophy (MECD) is a rare dominantly inherited disorder that is characterized by corneal epithelial microcysts and is associated with mutations in the keratin 3 (KRT3) and keratin 12 (KRT12) genes. In this study, we report a novel mutation in the KRT12 gene in a Vietnamese pedigree with MECD. Slit-lamp examination was performed on each of the 7 recruited members of a Vietnamese family to identify characteristic features of MECD. After informed consent was obtained from each individual, genomic DNA was isolated from saliva samples and screening of KRT3and KRT12 genes was performed by Sanger sequencing. The proband, a 31-year-old man, complained of a 1-year history of eye irritation and photophobia. Slit-lamp examination revealed intraepithelial microcysts involving only the corneal periphery in each eye with clear central corneas and no stromal or endothelial involvement. Three family members demonstrated similar intraepithelial microcysts, but with diffuse involvement, extended from limbus to limbus. Sanger sequencing of KRT3 (exon 7) and KRT12 (exons 1 and 6) in the proband revealed a novel heterozygous KRT12 variant (c.1273G>A [p.Glu425Lys]) that was present in the three affected family members but was absent in the three family members with clear corneas. This study is the first report of a Vietnamese family affected with MECD, associated with an atypical peripheral corneal epithelial phenotype in the proband and a novel mutation in KRT12.

Progressive multifocal leukoencephalopathy in a patient with occult hypogammaglobulinemia experiencing bilateral visual impairment

2021 ◽  
pp. 112067212199053
Author(s):  
Sameera Hettipathirannahelage ◽  
Sidath Wijetilleka ◽  
Hugh Jewsbury
Keyword(s):  
Progressive Multifocal Leukoencephalopathy ◽  
Visual Impairment ◽  
Demyelinating Disease ◽  
Parietal Lobe ◽  
Previous History ◽  
White Matter Lesions ◽  
Slit Lamp ◽  
Slit Lamp Examination ◽  
History Of ◽  
Ishihara Test

Introduction: Progressive multifocal leukoencephalopathy (PML) is a rare, lethal, demyelinating disease classically seen in profoundly immunosuppressed individuals. It is caused by intracerebral infection by John Cunningham polyomavirus (JCV). We report a rare case of PML in a man with presumed immunocompetence at presentation experiencing bilateral painless visual impairment. Case Description: A 60-year-old man with a 3-week history of bilateral painless visual impairment attended our ophthalmology department. Unusually, he navigated around the room well and was able to read 4 of 13 Ishihara test plates in spite of a best-corrected visual acuity of counting fingers at 1 m bilaterally. Slit lamp examination, routine blood tests and optical coherence tomography (OCT) of the maculae and discs were unremarkable. Diffuse hyperintense white matter lesions on T2-weighted magnetic resonance imaging of the brain and detection of JCV within the parietal lobe tissue obtained by biopsy confirmed PML. Additional investigations identified an underlying hypogammaglobulinaemia, which may have initiated PML. He received intravenous immunoglobulin but passed away 2 months after diagnosis. Conclusions: To our knowledge this case is one of only a handful worldwide to describe PML developing in a patient with presumed immunocompetence at presentation – there was no previous history of recurrent, chronic, or atypical infections. There has only been one other report of visual symptoms presenting as the primary complaint. The case illustrates the importance of ruling out organic, central nervous system pathology in patients presenting with visual loss and normal objective visual function tests such as slit lamp examination and OCT.

Ellipsoid layer restoration after Ozurdex® treatment in a patient with acute posterior multifocal placoid pigment epitheliopathy

2019 ◽  
pp. 112067211988359 ◽  
Author(s):  
Arnau Mora-Cantallops ◽  
M Dolores Pérez ◽  
Marcelino Revenga ◽  
Julio Jose González-López
Keyword(s):  
Optical Coherence Tomography ◽  
Visual Acuity ◽  
Optical Coherence ◽  
Dexamethasone Implant ◽  
Slit Lamp ◽  
Slit Lamp Examination ◽  
Intravitreal Dexamethasone Implant ◽  
History Of ◽  
Intravitreal Dexamethasone ◽  
Consequent Improvement

An atypical case of acute posterior multifocal placoid pigment epitheliopathy with a clear reappearance of the ellipsoid layer of the retina after Ozurdex® intravitreal implantation is presented. A 51-year-old woman reported a 3-week history of left eye photopsia. On slit-lamp examination, yellowish placoid lesions were found on her left eye fundus. Ancillary tests were performed. The patient was diagnosed as a left eye acute posterior multifocal placoid pigment epitheliopathy, and observational approach was decided. Later, the condition started to progress in an ampiginous manner and a decrease of visual acuity caused by an increase in number and size of the lesions was observed. As the disease was progressing with the conservative, observational approach, and the macula was menaced, an intravitreal dexamethasone implant was injected in the left eye with a consequent improvement of the visual acuity and lesion stabilization. The ellipsoid layer, unidentifiable inside the placoid lesions in previous optical coherence tomography tests, reappeared after the treatment. Intravitreal dexamethasone implants can be used to stabilize acute posterior multifocal placoid pigment epitheliopathy lesions and help resolve the condition. Spectral domain optical coherence tomography can also be useful for monitoring these lesions, as the ellipsoid layer may reappear upon resolution.

Graphite Particle in Cornea- An Incidental Finding

2021 ◽  
Author(s):  
Iva Rani Kalita
Keyword(s):  
Graphite Particle ◽  
Incidental Finding ◽  
Anterior Segment ◽  
Slit Lamp ◽  
Slit Lamp Examination ◽  
Active Intervention ◽  
The Past ◽  
Entry Wound ◽  
History Of ◽  
Temporal Quadrant

An eleven years old female came to Ophthalmology OPD for normal checkup. Her vision was 6/6 in BE's. On Slit Lamp Examination of Anterior Segment, LE Cornea showed crystalline greyish deposits scattered in infero-temporal quadrant mostly suggestive of Pencil Graphite. The rest details were absolutely normal. No entry wound could be made out. The patient and her parents gave no History of any pencil trauma in the past even after. As the particles were inert and patient had no symptom, no active intervention was done (Figures 1 and 2).

CLINICAL PROFILE OF PAEDIATRIC PATIENTS OF VERNAL KERATOCONJUNCTIVITIS PRESENTING TO THE TERTIARY HEALTH CARE CENTRE

2021 ◽  
pp. 4-6
Author(s):  
Jitendra Kumar ◽  
Rashmi Kumari ◽  
Apoorva Jain
Keyword(s):  
Health Care ◽  
Prospective Observational Study ◽  
Dust Exposure ◽  
Vernal Keratoconjunctivitis ◽  
Age Group ◽  
Slit Lamp ◽  
Care Centre ◽  
Health Care Centre ◽  
Slit Lamp Examination ◽  
History Of

PURPOSE - to study the clinical prole of patients of vernal keratoconjunctivitis presenting to the tertiary health care centre. METHODS- This was a prospective observational study that involved 100 eyes of 50 patients with vernal keratoconjunctivitis complaining of itching, burning and ropy discharge. Slit lamp examination was done in all the patients. RESULTS-There were 37 males and 13 females and the age group taken was 1 to 15 years. 4 patients belonged to the age group of 1 to 5 years, out of which all 4 were males. 32 patients belonged to age group of 6 to 11 years, out of which 24 were males and 8 were females. 14 patients belonged to the age group of 12 to 15 years, out of which 9 were males and 5 were females. On slit lamp examination cobblestone papillae were seen in 46% patients, pseudogerontoxon was seen in 32% patients, Horner Tranta's spots were seen in 18% patients and shield ulcer was seen in 4% patients. CONCLUSION-VKC is a common form of allergic conjunctivitis and the disease tends to occur in males of 6 to 11 years age group. Most common is palpebral form followed by mixed and bulbar forms. Some cases showed history of dust exposure, atopy and other allergic conditions.

scholarly journals Lacrimal Caruncle Nevus with Papilloma

2017 ◽  
Vol 8 (3) ◽  
pp. 535-538
Author(s):  
Eri Ishikawa ◽  
Maria Suzanne Sabundayo ◽  
Yasuhiro Takahashi ◽  
Hirohiko Kakizaki
Keyword(s):  
Case Report ◽  
Histopathological Examination ◽  
Clinical History ◽  
Conjunctival Epithelium ◽  
Slit Lamp ◽  
Pathological Findings ◽  
Slit Lamp Examination ◽  
First Case ◽  
Pigmented Lesion ◽  
Intradermal Nevus

Purpose: The aim of this article is to report a case of lacrimal caruncle nevus with papilloma. Methods: This is a case report of a 39-year-old female with a progressively enlarging pigmented lesion on the left lacrimal caruncle. She had been aware of a raised whitish wart on the top of this pigmented lesion for several months before her initial visit. Slit lamp examination revealed a papillomatous lesion over a well-circumscribed, pigmented lesion on the left lacrimal caruncle. Results: The histopathological examination of the excised tumor disclosed 2 characteristic findings, which include nests of nevus cells within the dermis and papillomatous structures which had fibrovascular cores overlying squamous cell epithelia with variable levels of acanthosis. The findings were consistent with an intradermal nevus and a papilloma arising from the conjunctival epithelium of the nevus. Conclusion: This is the first case report of a lacrimal caruncle nevus with papilloma. The clinical history and pathological findings of this case underscore the fact that an intradermal nevus primarily occurred on the lacrimal caruncle, after which a papilloma arose from the epithelium of the nevus as a consequence of human papillomavirus autoinoculation.

scholarly journals Corneal Toxicity due to Datura Inoxia

2019 ◽  
Author(s):  
Rajesh Subhash Joshi
Keyword(s):  
Case Report ◽  
Corneal Edema ◽  
Tropane Alkaloids ◽  
Slit Lamp ◽  
Slit Lamp Examination ◽  
Corneal Toxicity ◽  
Corneal Decompensation ◽  
The Tropics ◽  
Grown Plant ◽  
Datura Inoxia

Purpose: To report corneal toxicity following intentional inoculation of the juice of crushed leaves of datura (Datura Inoxia). Case Report: A 70-year-old male presented with diminished vision, redness, watering, and photophobia in his right eye one day before his presentation. The patient had instilled the juice of datura leaves in his right eye to treat his ocular problems. Slit lamp examination revealed mild conjunctival and circumcorneal congestion, corneal edema, and folds in Descemet’s membrane. The left eye was pseudophakic with an otherwise unremarkable examination. The patient was treated with dexamethasone, cycloplegics, and lubricants. The cornea did not sufficiently recover after one month of treatment leaving him with permanent corneal decompensation that required a referral for keratoplasty. The patient was followed up for six months. We hypothesize damage to the corneal endothelial Na+/K+-ATPase pump by tropane alkaloids as a cause for corneal decompensation. Conclusion: Awareness about toxicity of this commonly grown plant in the tropics and subtropics is essential in order to avoid blindness due to accidental or deliberate use.

scholarly journals Pole to Pole Intraocular Transit of Tarantula Hairs—An Intriguing Cause of Red Eye

2009 ◽  
Vol 2009 ◽  
pp. 1-2 ◽  
Author(s):  
Hiten G. Sheth ◽  
Patricio Pacheco ◽  
Ahmed Sallam ◽  
Sue Lightman
Keyword(s):  
Case Report ◽  
Topical Steroid ◽  
Posterior Segment ◽  
Healthcare Personnel ◽  
Slit Lamp ◽  
Medium Term ◽  
Ocular Complications ◽  
Slit Lamp Examination ◽  
Red Eye ◽  
Repeated Questioning

This intriguing case report provides novel images and a description of the anterior and rarer posterior segment findings seen in ocular inflammation associated with tarantula spider hair exposure. We present an interventional case report of a 9-year-old boy who presented with a red, sore eye. Slit lamp examination revealed right eye injection, multiple small hairs at differing levels of the cornea with associated opacities and inflammation within the anterior and posterior segments of the eye. Only after detailed and repeated questioning did the aetiology become apparent. Conservative management in the form of topical steroid and antibiotics was commenced and he did well with no obvious sequelae in the medium term. Healthcare personnel (and indeed pet shop owners, arachnid enthusiasts and even parents) should be aware of the potential ocular complications of tarantula hair exposure and clinicians should perhaps specifically ask about pet-keeping when presented with an unusual red eye.

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